Interactions between Anagrelide and Strattera

The atomoxetine in Strattera has a major potential interaction with Bipolar Disorder.

Atomoxetine increased the risk of suicidal ideation in pediatric patients with ADHD, and patients should be monitored closely for suicidal thoughts and behavior, clinical worsening, or unusual behavioral changes, especially during initial therapy or dosage changes. Before initiating atomoxetine, patients should be screened for bipolar disorder risk factors, and discontinuation should be considered if treatment-emergent psychotic or manic symptoms occur.

Anagrelide has a major potential interaction with Cardiovascular Conditions and Disorders.

The use of anagrelide may produce a positive inotropic effect, vasodilation, tachycardia, palpitations, and congestive heart failure. Therapy with anagrelide should be administered cautiously in patients with cardiac disease. A cardiovascular examination is recommended prior to beginning therapy with anagrelide.

The atomoxetine in Strattera has a moderate potential interaction with Cardiovascular Conditions and Disorders.

Atomoxetine should be used with caution both in patients with conditions that may predispose them to hypotension or abrupt changes in heart rate or blood pressure, and in patients with underlying medical conditions that could be worsened by increases in blood pressure or heart rate, such as hypertension, tachycardia, cardiovascular disease, or cerebrovascular disease. Heart rate and blood pressure should be measured at baseline, following atomoxetine dosage increases, and periodically during therapy to detect clinically important increases.

The atomoxetine in Strattera has a moderate potential interaction with Cerebral Vascular Disorder.

Atomoxetine should be used with caution both in patients with conditions that may predispose them to hypotension or abrupt changes in heart rate or blood pressure, and in patients with underlying medical conditions that could be worsened by increases in blood pressure or heart rate, such as hypertension, tachycardia, cardiovascular disease, or cerebrovascular disease. Heart rate and blood pressure should be measured at baseline, following atomoxetine dosage increases, and periodically during therapy to detect clinically important increases.

The atomoxetine in Strattera has a major potential interaction with Depression.

Atomoxetine increased the risk of suicidal ideation in pediatric patients with ADHD, and patients should be monitored closely for suicidal thoughts and behavior, clinical worsening, or unusual behavioral changes, especially during initial therapy or dosage changes. Before initiating atomoxetine, patients should be screened for bipolar disorder risk factors, and discontinuation should be considered if treatment-emergent psychotic or manic symptoms occur.

The atomoxetine in Strattera has a major potential interaction with Glaucoma, Narrow Angle.

The use of atomoxetine is contraindicated in patients with narrow angle glaucoma. In clinical trials, atomoxetine use was associated with an increased risk of mydriasis.

The atomoxetine in Strattera has a major potential interaction with Heart Disease.

Atomoxetine is contraindicated in patients with severe cardiac or vascular disorders whose condition would be expected to deteriorate if they had clinically important increase in blood pressure (e.g., 15 to 20 mmHg) or heart rate (e.g., 20 beats per minute). Atomoxetine generally should not be used in pediatric patients with known serious structural cardiac abnormalities, cardiomyopathy, serious arrhythmias, or other serious cardiac problems, and clinicians should consider not treating adults with clinically significant cardiac abnormalities, due to the risk of sudden death. Carefully assess cardiovascular history and perform physical exam before treatment, conduct further cardiac evaluation when indicated, and stop atomoxetine pending prompt cardiac evaluation if exertional chest pain, unexplained syncope, or other symptoms suggestive of cardiac disease occur.

The atomoxetine in Strattera has a major potential interaction with High Blood Pressure.

CNS stimulants increase blood pressure and heart rate; the use of some agents may be contraindicated in patients with severe/uncontrolled hypertension. Caution should be used when administering to patients with preexisting high blood pressure (even mild hypertension) and other cardiovascular conditions. All patients under treatment should be regularly monitored for potential tachycardia and hypertension.

The atomoxetine in Strattera has a moderate potential interaction with Hypotension.

Atomoxetine should be used with caution both in patients with conditions that may predispose them to hypotension or abrupt changes in heart rate or blood pressure, and in patients with underlying medical conditions that could be worsened by increases in blood pressure or heart rate, such as hypertension, tachycardia, cardiovascular disease, or cerebrovascular disease. Heart rate and blood pressure should be measured at baseline, following atomoxetine dosage increases, and periodically during therapy to detect clinically important increases.

Anagrelide has a major potential interaction with Liver Disease.

Anagrelide undergoes extensive metabolism in the liver, with less than 1% recovered unchanged in the urine. Therapy with anagrelide should be administered cautiously in patients with liver disease (bilirubin, SGOT, or other liver measurements greater than 1.5 times normal) and only when the benefits outweigh the risks. Monitoring for signs of liver toxicity is recommended.

The atomoxetine in Strattera has a moderate potential interaction with Liver Disease.

Atomoxetine can cause severe liver injury. Atomoxetine exposure is increased in patients with moderate or severe hepatic impairment, and a lower dosage is recommended in these patients. Atomoxetine should be permanently discontinued in patients with jaundice or laboratory evidence of liver injury. Liver enzyme and function tests should be obtained at the first symptom or sign of liver dysfunction.

The atomoxetine in Strattera has a major potential interaction with Pheochromocytoma.

Atomoxetine is contraindicated in patients with pheochromocytoma or a history of pheochromocytoma. Serious reactions, including elevated blood pressure and tachyarrhythmia, have been reported in patients with pheochromocytoma or a history of pheochromocytoma who received atomoxetine.

The atomoxetine in Strattera has a major potential interaction with Psychosis.

Atomoxetine increased the risk of suicidal ideation in pediatric patients with ADHD, and patients should be monitored closely for suicidal thoughts and behavior, clinical worsening, or unusual behavioral changes, especially during initial therapy or dosage changes. Before initiating atomoxetine, patients should be screened for bipolar disorder risk factors, and discontinuation should be considered if treatment-emergent psychotic or manic symptoms occur.

Anagrelide has a moderate potential interaction with Pulmonary Impairment.

The use of anagrelide may cause interstitial lung diseases, including allergic alveolitis, eosinophilic pneumonia, and interstitial pneumonitis. The symptoms may present as progressive dyspnea with lung infiltrations. Close monitoring should be exercised when using this agent in patients with pulmonary dysfunction. It is recommended to discontinue anagrelide and evaluate the patient if symptoms of pulmonary toxicity occur.

Anagrelide has a major potential interaction with Renal Dysfunction.

The use of anagrelide has been rarely associated with renal failure most often in patients with serum creatinine values greater than 2.0. Therapy with anagrelide should be administered cautiously in patients with renal dysfunction. Monitoring for signs of renal toxicity is recommended in these patients.